| NPI | 1699869503 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301101928) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01063288A) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OH 35.094208) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: LA MD202142) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2022-12-19 |